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Remote Medical Claims Analyst Jobs (NOW HIRING)

Berkley

Stop Loss Claims Analyst

Overland Park, KS · Remote

$70K - $80K/yr

This position can either be fully remote (if not within commutable distance to the office) or based ... Experience with medical billing practices, CPT codes, revenue codes, and/or universal billing

Berkley

Stop Loss Claims Analyst

Overland Park, KS · Remote

$70K - $80K/yr

This position can either be fully remote (if not within commutable distance to the office) or based ... Experience with medical billing practices, CPT codes, revenue codes, and/or universal billing

TEEMA

Claims Reviewer

Phoenix, AZ · Remote

$25 - $29/hr

Arizona - Remote What you will be doing: * Conducts medical claims review using current claims processing guidelines and established clinical criteria e.g. CDST and policy keys, to evaluate medical ...

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Remote Medical Claims Analyst information

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How much do remote medical claims analyst jobs pay per hour?

As of Jun 13, 2026, the average hourly pay for remote medical claims analyst in the United States is $25.11, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $25.24 per hour, depending on experience, location, and employer.

What is a Remote Medical Claims Analyst?

A Remote Medical Claims Analyst is a professional who reviews, processes, and evaluates healthcare insurance claims from a remote location, often working from home. Their primary responsibilities include verifying the accuracy of medical billing codes, ensuring claims comply with insurance policies and regulations, and identifying discrepancies or fraudulent activities. They collaborate with healthcare providers, insurance companies, and sometimes patients to resolve claim issues efficiently. Strong analytical skills, attention to detail, and knowledge of medical terminology and billing codes are essential for this role.

What are some common challenges faced by Remote Medical Claims Analysts, and how can they be addressed?

Remote Medical Claims Analysts often encounter challenges such as interpreting complex medical documentation, staying updated with ever-changing insurance regulations, and managing high volumes of claims efficiently. To address these, it's important to develop strong attention to detail, maintain ongoing education on coding and compliance, and leverage digital tools for workflow management. Collaboration with team members and clear communication with providers and insurers can also help resolve discrepancies more effectively and ensure accurate claims processing.

What are the key skills and qualifications needed to thrive as a Remote Medical Claims Analyst, and why are they important?

To thrive as a Remote Medical Claims Analyst, you need a solid understanding of medical terminology, insurance policies, and claims processing, usually supported by a relevant degree or experience in healthcare administration. Familiarity with claims management software, ICD-10/CPT coding systems, and sometimes certifications like CPC or CPB are typically required. Strong attention to detail, analytical thinking, and effective written communication set top performers apart in this role. These skills ensure accurate and timely claims adjudication, minimize errors, and support both customer satisfaction and regulatory compliance.
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Remote Medical Claims Analyst jobs near you
Infographic showing various Remote Medical Claims Analyst job openings in the United States as of June 2026, with employment types broken down into 99% Full Time, and 1% Contract. Highlights an 81% Physical, 8% Hybrid, and 11% Remote job distribution, with an average salary of $52,237 per year, or $25.1 per hour.

Consultant: Construction Claims Analyst (Chicago, IL)

Planate Management Group

Orlando, FL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Job description

Planate Management Group (PMG) is a Service-Disabled Veteran-Owned Small Business (SDVOSB) headquartered in Alexandria, Virginia, and Orlando, Florida USA with a technical support center in South East Asia and East Africa, that provides program management and facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting, engineering, and construction management services in support of the US Department of Defense (DOD) and its Service (Army, Air Force, Navy, Marine Corps) missions, along with other US federal agencies, all over the world.

We are seeking an experienced Senior Claims Analyst to support the Electronic Health Record Modernization (EHRM) Infrastructure Upgrade project at the Jesse Brown VA Medical Center (VAMC) in Chicago, IL. 

The Claims Analyst II will provide expert support to ensure contractor compliance with quality, schedule, and safety requirements, and will assist in the evaluation and resolution of constructionrelated claims and issues throughout the project lifecycle. 

This role is primarily remote, with occasional onsite visits.  

This position is wellsuited for professionals seeking supplemental or flexible work, offering the ability to contribute meaningful expertise without extensive travel requirements. 

Project Duration: Approximately 200 hours per year 

Key Responsibilities:

  • Perform claims review and legal defense analysis for construction projects. 
  • Conduct Cause and Effect Analysis, Cost and Schedule Integration, and Entitlement Analysis. 
  • Present at least three (3) projects in which you served as a Subject Matter Expert (SME) defending the owner against submitted claims. 
  • Support the resolution of disputes and provide expert recommendations to the project team. 
  • Visit JBVAMC as required (approximately 15 full-day visits over the contract period). 
  • Perform claims review and legal defense analysis for construction projects. 

Qualifications to be successful in the role:

  • Minimum of 15 years of experience in architecture, engineering, construction, or claims and litigation. 
  • Bachelor’s degree in architecture, engineering, or a related technical field. 
  • Thorough understanding of construction claims review, legal defense processes, and dispute resolution. 
  • Proven ability to perform detailed analysis of project claims, costs, and schedules. 
  • Strong communication skills and experience presenting complex technical information. 

Why Planate? 

Planate Management Group is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. 

Joining the Planate team opens you to an experience working for a Global company where you are among a team that is considered a premier trusted partner for planning, design, engineering, asset management, and professional service solutions anytime, anywhere.  We Take Care of Our Own; Personally, and Profession. 

Full-time employees enjoy the following benefits:

  • Medical insurance/Dental/Vision Insurance
  • 401K plan eligibility upon hire
  • Health and Savings Account plan
  • Life/AD&D Insurance Coverage
  • Short-Term Disability Insurance Coverage
  • Paid Holidays
  • Paid Time Off
  • Wellness Offering
  • Training and Development
  • License/Certification support
  • Recognition and Rewards program
  • Travel Insurance

We’d love for you to be a part of our Global workforce, helping us serve as an effective and integrated partner to advance every client's mission!

Employment Type: FULL_TIME

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